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alkaline phosphatase Ameloblastoma answer section arrow asymptomatic biopsy buccal calcified carcinoma Caucasian male patient chronic clinical condition condyle Courtesy of Dr deciduous teeth dental denture developed differential diagnosis distal erupted extraction Fibrous dysplasia giant cell granuloma gingiva Give a differential history of trauma hyperparathyroidism impacted impression intra-oral keratocyst left first molar left mandible left mandibular left maxillary left side left third molar left TMJ lesion lingual lower denture mandible mandibular canal mandibular left third mandibular right mandibular second mandibular second molar maxillary sinus mesial molar area Montreal normal limits Note occlusal odontogenic odontogenic keratocyst odontoma old Caucasian female old Caucasian male oral Osteoma osteomyelitis pain panoramic film Periapical cyst periodontal disease permanent teeth posterior presented QUESTIONS radiograph radiographic findings radiolucent area radiopaque radiopaque area resorption right mandible right maxillary sclerosing osteomyelitis sclerotic second bicuspid second molar serum calcium level soft tissue swelling therapy tooth number treatment unerupted